| NPI | 1063292837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 2023033104) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-82527-062) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |